Dilan Shah, DMD
Individual provider Active NPI General Practice Dentistry · Johnsburg, IL
NPI 1033008362 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1033008362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019.036214 (IL)
- Practice address
- 4113 N Johnsburg Rd
Johnsburg, IL 60051-6323 - Phone
- (815) 344-0028
- NPI assigned
- Jul 1, 2025
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.036214 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnsburg Dental Center | General Practice | Past |
Accepting new patients |
| Edp of Illinois P.C | Single Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 019.036214 | IL | Yes |
Addresses
Primary practice location
4113 N Johnsburg Rd
Johnsburg, IL 60051-6323
Mailing address
1340 Saint Claire PL
Schaumburg, IL 60173-6186
Phone (847) 347-7789
Other providers in Johnsburg, IL
- Rogner, P.C.
- Stacy Ann Rogner
- Chris Schmidt
- Kailee Marie Schultz
- Debra Schweitzer
- Shamari Counseling and Mentoring
- Matthew David Sierzega
- Christine Silvestri
- Antoinette Simek
- Bryan Nicholas Simmon
All providers in Johnsburg, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.